Displaying 561 - 580 of 5993
Contract Number Brand Code Brand Name Active Ingredient Trade Name Package Size Formulary Category Pkg Price Unit Price Unit Description Max. Reimbursable Quantity / Month Package Description Manufacturer Code Manufacturer Name Agent Code Agent Name Benefit Therapeutic Code Therapeutic Desc Drug Contract Start Date Drug Contract End Date Status Description Default Route Max Repeats Therapeutic Head Amend Date
40 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF/AHI) ADRENALINE ADRENALINE 100X1ML B 99.38 0.99 INJECTION 0 AMP LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 Change Local Agent IV/IM 0 AUTONOMIC DRUGS 2022-02-03
41 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF) (B) ADRENALINE ADRENALINE 100X1ML B 114.17 1.1417 AMP 60 BOX LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST
42 0791X ADRENALINE 1MG/ML IV/IM INJ (LAF) ADRENALINE ADRENALINE 100X1ML B 95.14 0.95 AMPG 60 BOX LAF LABORATORIOS ALFA AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2026-04-01 IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST
41 0791Y ADRINOR 1MG/ML IV/IM INJ (INC) ADRENALINE (B) ADRENALINE ADRINOR 5X1ML B 9.05 1.8104 AMP 60 BOX INC INCEPTA PHARMACEUTICALS LIMITED AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM/SC 0 ALPHA & BETA ADRENERGIC AGONIST
41 08011 DOPAMINE 40MG/ML INJ (RTM) (B) DOPAMINE DOPAMINE 10X5ML B 114.5 11.4496 AMP 0 BOX RTM PANPHARMA GMBH PHA PHARMACY SALES CARIBBEAN 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
40 0801P DOPAMINE 40MG/ML INJ (SLS/AHI) DOPAMINE DOPAMINE 25X5ML B 35.47 1.42 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0801P DOPAMINE 40MG/ML INJ (SLS) (B) DOPAMINE DOPAMINE 25X5ML B 40.37 1.6147 VIAL 0 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
42 0801P DOPAMINE 40MG/ML INJ (SLS) DOPAMINE DOPAMINE 25X5ML BQ 51.38 2.06 VIAL 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2026-04-01 IV 0 BETA ADRENERGIC AGONIST
40 0801U DOPAMINE 40MG/ML INJ (MON/PHA) DOPAMINE DOPAMINE 5X5ML B 8.02 1.60 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 121208 BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0801V DOPAMINE 40MG/ML INJ (STP) (B) DOPAMINE DOPAMINE 10X5ML B 73.39 7.3395 AMP 0 BOX STP STEROP LABORATORIES COL COLLINS LTD 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
41 0813B EPHEDRINE HCL 50MG/ML INJ (AKI) EPHEDRINE HCL EPHEDRINE HCL 10X1ML B 2248.76 224.8761 VIAL 30 BOX AKI AKORN INC. AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 6 ALPHA & BETA ADRENERGIC AGONIST
40 0813C EPHEDRINE HCL 50MG/ML INJ (VEV/AHI) EPHEDRINE HYDROCHLORIDE EPHEDRINE HCL 10X1ML B 268.43 26.84 INJECTION 0 VIAL VEV VERVE HUMANCARE LABORATORIES AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2022-09-30 IV 0 AUTONOMIC DRUGS 2022-03-29
40 08234 ISOLIN 2MG/ML INJ (SLS/AHI) ISOPRENALINE ISOPRENALINE ISOLIN 5X1ML BQ 37.92 7.58 INJECTION 0 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 08234 ISOLIN 2MG/ML INJ (SLS) ISOPRENALINE (BQ) ISOPRENALINE ISOLIN 5X1ML BQ 37.92 7.5841 VIAL 1 BOX SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 BETA ADRENERGIC AGONIST
42 08234 ISOLIN 2MG/ML INJ (SLS) ISOPRENALINE ISOPRENALINE ISOLIN 5X1ML BQ 38.17 7.63 VIAL 1 VIAL SLS SAMARTH LIFE SCIENCES AHI ARMSTRONG HEALTHCARE INC 121208 BETA ADRENERGIC AGONIST 2026-04-01 IV 0 BETA ADRENERGIC AGONIST
40 0861E NORADRENALINE 1MG/ML INJ (KWA/ATB) NORADRENALINE NORADRENALINE 10X4ML BQ 27.05 2.71 INJECTION 0 AMP KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
41 0861E NORADRENALINE 1MG/ML INJ (KWA) (BQ) NORADRENALINE NORADRENALINE 10X4ML BQ 10.55 1.0547 AMP 0 BOX KWA KWALITY PHARMACEUTICALS ATB ANSA TRADING BARBADOS LTD 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV 0 ALPHA & BETA ADRENERGIC AGONIST
40 0861F NORADRENALINE 1MG/ML INJ (MON/PHA) NORADRENALINE NORADRENALINE 5X4ML BQ 16.55 3.31 INJECTION 0 AMP MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 121212 ALPHA & BETA ADRENERGIC AGONIST 2022-04-01 2024-03-31 IV 0 AUTONOMIC DRUGS
42 0861F NORADRENALINE 1MG/ML INJ (MON) NORADRENALINE NORADRENALINE 5X4ML BQ 12.15 2.43 AMPG 0 BOX MON MONTAGE PHARMACEUTICALS PHA PHARMACY SALES CARIBBEAN 121212 ALPHA & BETA ADRENERGIC AGONIST 2026-04-01 IV 0 ALPHA & BETA ADRENERGIC AGONIST
41 0861H LADRELINE 1MG/ML INJ (LDP) NORADRENALINE (BQ) NORADRENALINE LADRELINE 5X4ML BQ 14.19 2.8379 AMP 0 BOX LDP LABDHI PHARMA AHI ARMSTRONG HEALTHCARE INC 121212 ALPHA & BETA ADRENERGIC AGONIST 2024-04-01 2026-03-31 IV/IM 0 ALPHA & BETA ADRENERGIC AGONIST